JACQUELINE F MAHAN M.D.
NPI 1821038928
Obstetrics & Gynecology in Woodbury, MN

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment
1687 WOODLANE DR, SUITE 101, WOODBURY, MN 55125(651) 209-6263(651) 209-6264 Get Directions Write a Review

NPPES record last updated: May 2, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 2, 2018, Mar 17, 2018, Mar 8, 2018 (3 updates tracked since 2018).

About Jacqueline F Mahan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE F MAHAN M.D. (NPI 1821038928) is an individual obstetrics & gynecology provider in Woodbury, Minnesota, licensed in Minnesota (40062) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview St John's Hospital, and maintains a secondary practice location in Maplewood.

NPPES Registry Identity

NPI1821038928
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameJACQUELINE F MAHANCredential: M.D.
Location Address1687 WOODLANE DR, SUITE 101Woodbury, MN 55125-3045
Mailing Address1687 Woodlane Dr, Suite 101Woodbury, MN 55125-3045 · (651) 209-6263 · Fax (651) 209-6264
Fax(651) 209-6264
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1997
Enumeration DateJune 7, 2006
Last NPPES UpdateMay 2, 20183 updates tracked since enumeration
NPI 1821038928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in MN · 40062
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1687 WOODLANE DR, Woodbury, MN 55125

Secondary Practice Location 1

Location 12603 White Bear Ave NMaplewood, MN 55109-5110 · Phone (651) 600-3035

Other Identifiers 9

Other0702247MN · Medica
Medicaid585517900MN
Other120389F210MN · Ucare
Other160056510MN · Rr Medicare
Other0702247MN · Select Care
Other56F15MAMN · Blue Cross Blue Shield
OtherNA3501014502MN · Preferred One
Other34454200WI · Wisconsin Medicaid
Other764114MN · Araz

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jacqueline F Mahan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476526187
PECOS Enrollment IDI20100908000494
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240210
Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55125 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
1687 WOODLANE DR, NUMBER 104
WOODBURY, MN 55125
Family Medicine
1687 WOODLANE DR, SUITE 102
WOODBURY, MN 55125
Genetic Counselor, MS
1687 WOODLANE DR
WOODBURY, MN 55125
Family Medicine
1687 WOODLANE DR
WOODBURY, MN 55125
Family Medicine
1687 WOODLANE DR
WOODBURY, MN 55125
Physical Therapist
1687 WOODLANE DR, SUITE 104
WOODBURY, MN 55125
Obstetrics & Gynecology
1687 WOODLANE DR, SUITE 101
WOODBURY, MN 55125
Obstetrics & Gynecology
1687 WOODLANE DR, SUITE 101
WOODBURY, MN 55125

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Mahan's NPI number?

The NPI number for Jacqueline Mahan is 1821038928. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Jacqueline Mahan located?

Jacqueline Mahan practices at 1687 Woodlane Dr Suite 101, Woodbury, MN 55125. The listed phone number is (651) 209-6263.

What is Jacqueline Mahan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jacqueline Mahan enrolled in Medicare?

Yes. Jacqueline Mahan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacqueline Mahan accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica and Sanford Health Plan list Jacqueline Mahan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jacqueline Mahan affiliated with any hospitals?

According to CMS data, Jacqueline Mahan is affiliated with M Health Fairview St John's Hospital.

When was this NPI record last updated?

The NPPES record for Jacqueline Mahan was last updated on May 2, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.